Individual
DR. DALTON PETER BROOKS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
727 WESLEY PINES RD, LUMBERTON, NC 28358-2105
(910) 618-0384
Mailing address
727 WESLEY PINES RD, LUMBERTON, NC 28358-2105
(910) 618-0384
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6800
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8990092
—
NC
01
—
90092
BCBS OF NC
NC
Enumeration date
03/16/2006
Last updated
08/05/2008
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